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VINCENT MICHAEL DESTEFANO
NPI 1174468458
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 22, 2026PECOS Enrolled
100 EASTOWNE DR, CHAPEL HILL, NC 27514(984) 974-4462(919) 843-9355 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Michael Destefano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT MICHAEL DESTEFANO (NPI 1174468458) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174468458
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVINCENT MICHAEL DESTEFANO
Location Address100 EASTOWNE DRChapel Hill, NC 27514-2286
Mailing Address100 Eastowne DrChapel Hill, NC 27514-2286 · (984) 974-4462 · Fax (919) 843-9355
Phone(984) 974-4462
Fax(919) 843-9355
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1174468458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 EASTOWNE DR, Chapel Hill, NC 27514
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Michael Destefano is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YOUSEF NABIL LAFI PHARMD
Pharmacist (Infectious Diseases)
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-7198
PAUL BENJAMIN SCHWARTZ
Student in an Organized Health Care Education/Training Program
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (919) 843-9355
HEMADHANVI CHAGARLAMUDI MD
Internal Medicine (Allergy & Immunology)
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
DR. KELSEY THERESA KINES MD, PHD
Student in an Organized Health Care Education/Training Program
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
DR. DHRUV MANISH SHAH MD
Student in an Organized Health Care Education/Training Program
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
MARISSA ELARDO MD
Internal Medicine
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-4462
SIERRA RAE PARKINSON MD
Student in an Organized Health Care Education/Training Program
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (919) 843-9355
MR. MICHAEL ANTHONY BROWN LCAS, LCSW
Social Worker (Clinical)
100 EASTOWNE DR
CHAPEL HILL, NC 27514
Orange County (984) 974-8371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Destefano's NPI number?

The NPI number for Vincent Destefano is 1174468458. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Vincent Destefano located?

Vincent Destefano practices at 100 Eastowne Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-4462.

What is Vincent Destefano's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vincent Destefano enrolled in Medicare?

Yes. Vincent Destefano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Destefano was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.